Individual provider Active NPI

Jennifer Marie Belluomo, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Yorktown Heights, NY
National Provider Identifier
1457626699
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
021216 Issued in NY
Practice address
704 Locksley Rd
Yorktown Heights, NY 10598-3135
Phone
(914) 243-8160
NPI assigned
Mar 21, 2012
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 021216 NY Primary

Addresses

Primary practice location

704 Locksley Rd
Yorktown Heights, NY 10598-3135

Mailing address

704 Locksley Rd
Yorktown Heights, NY 10598-3135
Phone (914) 243-8160

Other identifiers 1

IdentifierTypeStateIssuer
02126OtherNYNYS LICENSE #:TEACHER OF STUDENT WITH SPEECH AND LANGUAGE DISORDERS(TSSLD)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
021216NYMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1457626699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 LOCKSLEY RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105983135",
            "telephone_number": "914-243-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LOCKSLEY RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105983135",
            "telephone_number": "914-243-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLUOMO",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE #:TEACHER OF STUDENT WITH SPEECH AND LANGUAGE DISORDERS(TSSLD)",
            "identifier": "02126",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.